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When Denver-based Catholic Health Initiatives (CHI) developed its strategic vision for 2020, its top priorities included developing pioneering models and systems of care to improve healthcare delivery. CHI, with 73 hospitals in 19 states, is using a major health IT initiative to make that vision a reality.
This case study appears in the Leadership special report, Creating Value for Patients for Business Success.
Access a related case study in the report about CHI's new approach to nurse staffing.
Access the full Leadership report.
Many elements of its IT program are targeted directly to improving decision making at the bedside. Among them: introducing a virtual nursing program to extend the expertise of highly trained nurses and strengthening CHI's business intelligence program to support decision making about patient care.
"These are things that will really allow us to change the way that we care for folks," says Stephen Moore, MD, CHI's chief medical officer.
Over the next five to seven years, CHI intends to invest $1.5 billion to improve clinical IT across the organization. Plans call for a systemwide EHR used by both inpatient and outpatient physicians, a health information exchange, and physician and patient portals.
Moore considers that investment to be "foundational" to support a transformation in clinical care.
"This is the investment we have to make in information systems across our home health facilities, across outpatient physician practices, and within our hospital setting to be successful in other ventures, especially telehealth," he says.
CHI, which operates in many rural areas across the country, already has more than 80 telehealth programs in place, including teleradiology throughout the CHI system, a telepharmacy program in North Dakota, and a telepsychiatry program in Nebraska and Kansas.
Going forward, however, telehealth programs will not be limited to CHI's rural operations and outpatient programs.
Beginning this year, CHI will pilot two telenursing programs, in which clinical nurse leaders will use health information exchange technology to provide oversight and support to nurses on multiple medical-surgical units simultaneously.
"We believe this oversight by critical-thinking, highly-educated nurses will improve quality and also improve the discharge planning and coordination of care as we move patients outside of the hospital into their homes," says Kathleen Sanford, RN, senior vice president and CNO.
One of the pilots is in CHI's North Dakota and Minnesota market, where a chronic shortage of clinicians drives the need for an innovative model for nursing care. The other pilot is in Kentucky where, to start with, "virtual nurse coaches" will support young nurses working on a night shift.
"The plan is for that to lead into more roles for telenursing-similar to eICUs, but these will be e-medical/surgical units," she says.
CHI currently maintains a patient data repository that collects information from more than 13,000 separate patient records on a daily basis. The EHR systems and other IT upgrades under way will supplement that significantly.
"This is going to allow us to capture many, many more data fields-from laboratory tests to radiology tests to key documentation pieces about our patients," says Moore. "This will give us the opportunity to enhance our decision making significantly in two ways."
This body of information, gathered in real time, will allow clinicians to immediately identify infectious patients and isolate them quickly. Further, the data can be analyzed retrospectively to understand trends in complications and readmissions.
"This will allow us to track what's happening and inform the organization about our workflows and the way we're caring for certain patients," says Moore. In addition, it will really enable us to begin caring for those patients in a different way," he says.
Somnia: Bending the Healthcare Cost Curve Toward Improved Anesthesia Value
PMMC: Navigating Revenue Cycle Management Challenges as Value Based Purchasing Emerges
Burgess: Simplify the Business of Healthcare
J.P. Morgan: Managing Cybersecurity and Protecting Patient Data
Brian DiPietro, Managing Director, Commercial Bank Technology, JPMorgan Chase & Co., discusses the importance of evaluating your cybersecurity protocols to help prevent malicious data breaches.
TransUnion Healthcare: Smarter Revenue Cycle Solutions
Gerry McCarthy, President of TransUnion Healthcare, discusses industry trends contributing to higher bad debt and what to do about them. Gerry is responsible for the strategic direction of the healthcare business and expanding its footprint in the healthcare market overall. He has more than 20 years of experience in healthcare information technologies.
Deloitte: Creating Value with Effective Care Management
Scott Kolesar, principal and senior leader in Deloitte Consulting LLP's Value Based Care practice, and David Wennberg, MD, MPH, adjunct associate professor of The Dartmouth Institute and former chief executive officer, Northern New England Accountable Care Collaborative, discuss the challenges and competencies involved in creating a care management organization.
American Express: Streamlining Supplier Payments and Boosting Revenue
Andrew Jamison, vice president in the Global Corporate Payments division of American Express, discusses trends and opportunities in supplier payments.
Deloitte: Realizing the Potential of Your CDI Program
Suzanne Whitworth, director at Deloitte & Touche LLP, and LaVerne Romberger, MSN, CCM, CCDS, clinical operations manager-Seton Healthcare, share leading practices for maximizing the potential of clinical documentation programs under value-based care.
RevSpring: Customizing a Technology Platform to Drive Patient Payment
Martin Callahan, Senior Vice President, Healthcare Solutions, RevSpring, describes key industry trends affecting how patients engage with the revenue cycle and ways payment processes are changing as a result.


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over 2 years ago
Oral-B & Crest Coupons | Toothpaste & Toothbrush FREE + $0.50 Moneymaker!
YAY! Print out the $0.50 off Crest Coupons for Crest Pro Health Toothpaste for a Moneymaker starting Sunday, 9/22 at Rite Aid!
They will have Crest Pro-Health for $3 and you will get a $3 +Up Reward when you buy 1- FREE BEFORE coupons :)
If you use the Crest Coupons, it is a $0.50 Moneymaker![pl-deal id='173788′]
Oral-B products are also included in this sale and will also have Moneymakers with Insert Coupons! Since there is a limit of 2 on this +Up Reward, you can do both :)[pl-deal id='173789′]
Find all of the best Crest Coupons and deals for Crest at our Crest Coupons Page!

subset: commoncrawl


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|Reviews for Building Blocks
| Sunshine-Midnight123 chapter 5 . 8/3/2013
I love it! Who knew Bella could give such great advice!
| Granny Wolf chapter 5 . 8/3/2013
nice bonding time for Bella and Leah... looking forward to Embry and Leah's relationship to progress... thanks for the post and waiting for the next! PLEASE!
| Khyharah chapter 4 . 7/22/2013
Aww Leah come on out ur shell :) can't wait to see more!
| Jasper-replaces-edward chapter 4 . 7/21/2013
lol. Leah is doing really weel, bless her. xx
| Guest chapter 4 . 7/17/2013
Aww cute story update soon
| Firefly-class chapter 4 . 7/18/2013
Good update. It's great to see how embry's friendship is changing Leah already.
| ratgirl62 chapter 4 . 7/18/2013
This story is really great, please update soon!
| MissEllen chapter 4 . 7/18/2013
Good chapter! Very fun to watch Leah coming out of her shell of defensiveness, and catching the little nuances of pack member's personalities. Love love love Embry in this!
| Sunshine-Midnight123 chapter 4 . 7/17/2013
| pichon chapter 4 . 7/17/2013
That's kind of like showing up at an office party with a co-worker. I'm sure everyone is thinking "Are they dating?" "What's going on?"
| pichon chapter 3 . 7/17/2013
I used to be the only girl when I worked in kitchens. You always have to hit harder, work harder, and yell louder just so you don't come across as the weakest link. It's easy to come across looking like a bitch. I totally understand her position of not showing weakness.
| pichon chapter 2 . 7/17/2013
I can see Bella and Leah being friends. They might look polar opposites but they do have heartbreak in common.
| pichon chapter 1 . 7/17/2013
I've been jumping around from wolf boy to wolf boy trying to get into a new story. I almost passed this up until I saw your name. I only partially feel bad for Leah. Through all of her tears, all I could think of was "what is she bitching about? She can get up in the middle of the night, eat a container of ice cream, and not have a poochy belly in the morning!" Doesn't that make up for all the other shit?
| brankel1 chapter 4 . 7/17/2013
Love it. glad Leah & Bella are friends. I love the part where Leah gives Seth money. And he, Collin & Brady are wondering what they can buy.
| LunaMoonera chapter 4 . 7/17/2013
Ah! This a very nice story. I think Leah's character has so much potential. Being dealt a rough hand by life, she has a right to be mad and upset, hopefully not for long, but this friendship with Embry and maybe Bella can help her let go off her past and create a loving future.
I look forward to more of this story.


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Here you can find the first wallpapers of the Caterham CT05. This 2014 F1 car that was revealed Tuesday 28th of January. This car will be driven by Marcus Ericsson and Kamui Kobayashi.
I really love this F1 car because its color green and the pilot is Kamui Kobayashi
Who will win the Russain F1 GP?
View Results


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So, Tony the putz from Kopenhagen, went to a neocon website so he can cut and past some worthless garbage and informed his fellow Jihadist loving talk-backers about the peril of Islamophobia. How original and how informative. Because we all know, international Islamic terror and Jihad suicide bombings don't really exist and are a figment of everyone's imagination.
Death toll from car bombs in Iraq rises to 56 (AP)
from the article: Light comes from the West, nostalgia from the Middle East


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Many people mistakenly believe that options are always riskier investments than stocks. This stems from the fact that most investors do not fully understand the concept of leverage. However, if used properly, options can have less risk than an equivalent position in a stock. Read on to learn how to calculate the potential risk of stock and options positions and discover how options - and the power of leverage - can work in your favor.
What Is Leverage?
Leverage has two basic definitions applicable to option trading. The first defines leverage as the use of the same amount of money to capture a larger position. This is the definition that gets investors into trouble. A dollar amount invested in a stock and the same dollar amount invested in an option do not equate to the same risk.
The second definition characterizes leverage as maintaining the same sized position, but spending less money doing so. This is the definition of leverage that a consistently successful trader incorporates into his or her frame of reference.
Interpreting the Numbers
Consider the following example. If you're going to invest $10,000 in a $50 stock, you might be tempted to think you would be better off investing that $10,000 in $10 options instead. After all, investing $10,000 in a $10 option would allow you to buy 10 contracts (one contract is worth one hundred shares of stock) and control 1,000 shares. Meanwhile, $10,000 in a $50 stock would only get you 200 shares.
In the example above, the option trade has much more risk compared to the stock trade. With the stock trade, your entire investment can be lost, but only with an improbable movement in the stock. In order to lose your entire investment, the $50 stock would have to trade down to $0.
In the option trade, however, you stand to lose your entire investment if the stock simply trades down to the long option's strike price. For example, if the option strike price is $40 (an in-the-money option), the stock will only need to trade below $40 by expiration for your entire investment to be lost. That represents only a 20% downward move.
Clearly, there is a large risk disparity between owning the same dollar amount of stocks to options. This risk disparity exists because the proper definition of leverage was applied incorrectly to the situation. To correct this problem, let's go over two alternative ways to balance risk disparity while keeping the positions equally profitable.
Conventional Risk Calculation
The first method you can use to balance risk disparity is the standard, tried and true way. Let's go back to our stock trade to examine how this works:
If you were going to invest $10,000 in a $50 stock, you would receive 200 shares. Instead of purchasing the 200 shares, you could also buy two call option contracts. By purchasing the options, you can spend less money but still control the same number of shares. The number of options is determined by the number of shares that could have been bought with your investment capital.
For example, let's suppose that you decide to buy 1,000 shares of XYZ at $41.75 per share for a cost of $41,750. However, instead of purchasing the stock at $41.75, you could also buy 10 call option contracts whose strike price is $30 (in-the-money) for $1,630 per contract. The option purchase will provide a total capital outlay of $16,300 for the 10 calls. This represents a total savings of $25,450, or about a 60% of what you could have invested in XYZ stock.
Being Opportunistic
This $25,450 savings can be used in several ways. First, it can be used to take advantage of other opportunities, providing you with greater diversification. Another interesting concept is that this extra savings can simply sit in your trading account and earn money market rates. The collection of the interest from the savings can create what is known as a synthetic dividend. Suppose during the course of the life of the option, the $25,450 savings will gain 3% interest annually in a money market account. That represents $763 in interest for the year, equivalent to about $63 a month or about $190 per quarter.
You are now, in a sense, collecting a dividend on a stock that does not pay one while still seeing a very similar performance from your option position in relation to the stock's movement. Best of all, this can all be accomplished using less than one-third of the funds you would have used had you purchased the stock.
Alternative Risk Calculation
The other alternative for balancing cost and size disparity is based on risk.
As you've learned, buying $10,000 in stock is not the same as buying $10,000 in options in terms of overall risk. In fact, the money invested in the options was at a much greater risk due to the greatly increased potential of loss. In order to level the playing field, therefore, you must equalize the risk and determine how to have a risk-equivalent option position in relation to the stock position.
Positioning your Stock
Let's start with your stock position: buying 1,000 shares of a $41.75 stock for a total investment of $41,750. Being the risk-conscious investor that you are, let's suppose you also enter a stop-loss order, a prudent strategy that is advised by most market experts.
You set your stop order at a price that will limit your loss to 20% of your investment, which is $8,350 of your total investment. Assuming this is the amount that you are willing to lose on the position, this should also be the amount you are willing to spend on an option position. In other words, you should only spend $8,350 buying options. That way, you only have the same dollar amount at risk in the option position as you were willing to lose in your stock position. This strategy equalizes the risk between the two potential investments.
If you own stock, stop orders will not protect you from gap openings. The difference with the option position is that once the stock opens below the strike that you own, you will have already lost all that you could lose of your investment, which is the total amount of money you spent purchasing the calls. However, if you own the stock, you can suffer much greater losses. In this case, if a large decline occurs, the option position becomes less risky than the stock position.
For example, if you purchase a pharmaceutical stock for $60 and it gap-opens down at $20 when the company's drug, which is in Phase III clinical trials, kills four test patients, your stop order will be executed at $20. This will lock in your loss at a hefty $40. Clearly, your stop order doesn't afford much protection in this case.
However, let's say that instead of purchasing the stock, you buy the call options for $11.50 each share. Now your risk scenario changes dramatically - when you buy an option, you are only risking the amount of money that you paid for the option. Therefore, if the stock opens at $20, all of your friends who bought the stock will be out $40, while you will only have lost $11.50. When used in this way, options become less risky than stocks.
The Bottom Line
Determining the appropriate amount of money you should invest in an option will allow you to use the power of leverage. The key is keeping a balance in the total risk of the option position over a corresponding stock position, and identifying which one holds the higher risk in each situation.
Options & Futures
What You Need To Know About Binary Options Outside The U.S.Binary or digital options are a simple way to trade price fluctuations in multiple global markets.
Options & Futures
Exotic Options: A Getaway From Ordinary TradingExotic options are like regular options, except that they have unique features that make them complex. These unusual investment vehicles can reignite your interest in trading.
Options & Futures
How To Avoid Closing Options Below Intrinsic ValueTo get the best return possible on your options trading, it is important to understand how options work and the markets in which they trade.
Options & Futures
American Vs. European OptionsThese two options have many similar characteristics, but it's the differences that are important.
Options & Futures
Using Options Instead Of EquityLearn how to multiply returns and diversify risk by buying options instead of stock.
Stock Analysis
The Biggest Risks of Investing in Netflix StockExamine the current state of Netflix Inc., and learn about three of the major fundamental risks that the company is currently facing.
Mutual Funds & ETFs
3 Fixed Income ETFs in the Mining SectorLearn about the top three metals and mining exchange-traded funds (ETFs), and explore analyses of their characteristics and how investors can benefit from these ETFs.
Mutual Funds & ETFs
Top 3 Muni California Mutual FundsDiscover analyses of the top three California municipal bond mutual funds, and learn about their characteristics, historical performance and suitability.
Investing Basics
What Does Plain Vanilla Mean?Plain vanilla is a term used in investing to describe the most basic types of financial instruments.
Mutual Funds & ETFs
Mutual Funds Are Not FDIC Insured: Here Is WhyFind out why mutual funds are not insured by the FDIC, including why the FDIC was created and how to minimize your risk with educated mutual fund investments.
Why have mutual funds become so popular?Mutual funds have become an incredibly popular option for a wide variety of investors. This is primarily due to the automatic ... Read Full Answer >>
Can your car insurance company check your driving record?While your auto insurance company cannot pull your full motor vehicle report, or MVR, it does pull a record summary that ... Read Full Answer >>
Can mutual funds invest in options and futures?Mutual funds invest in not only stocks and fixed-income securities but also options and futures. There exists a separate ... Read Full Answer >>
Is my IRA/Roth IRA FDIC-Insured?The Federal Deposit Insurance Corporation, or FDIC, is a government-run agency that provides protection against losses if ... Read Full Answer >>
Does index trading increase market vulnerability?The rise of index trading may increase the overall vulnerability of the stock market due to increased correlations between ... Read Full Answer >>
How does a forward contract differ from a call option?Forward contracts and call options are different financial instruments that allow two parties to purchase or sell assets ... Read Full Answer >>


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Feature of the Week: Week of August 12
Department: Sunglasses/ Gifts
Item: Bass Pro Shops / RealTree Comforters
Moving into your dorm? Would you believe me if I told you we had your comforter here at Bass Pro Shops?!? WE DO! We have top of the line Camouflage Comforters just for you! We carry them in Green, Lavender and Fuchsia Camouflage colors!
Bass Pro Shops® Mossy Oak® Break-Up Camouflage Comforter Set or Bedding Collection
Featuring the popular camo pattern, these bedding sets and accessories are perfect for the hunter's bedroom. Comforter set, sheet set, and pillows sold separately and do not come with each other.
Comforter Set: includes comforter, bedskirt with a 15" drop, and 2 shams (twin has only 1; king set includes king-sized shams). 140-thread-count comforter is made of an easy-care 70/30 poly/cotton blend. Comforter reverses to chocolate brown. Sheet Set: includes fitted sheet, flat sheet, and 2 pillowcases (twin size has only 1). Sheets are a 220-thread-count, 50/50 poly/cotton blend.
Realtree APC™ Lavender Bedding Collection
- Vivid branches and leaves against a lavender background
- High definition design
- Comforter set, sheet set and square accent pillow
- Made of soft, wrinkle-free 55% cotton/45% polyester
Surround yourself in the beauty of the outdoors, updated with feminine styling. This Realtree APC Lavender Bedding Collection features a high definition design of branches and leaves set against variegated shades of soft lavender. The pieces in this Realtree APC Lavender Bedding Collection are made of soft, wrinkle-free 55% cotton/45% polyester. Comforter and Sheet Sets: Machine wash cold, tumble dry low. Use commercial washer/dryer to allow free movement. Pillow: Spot clean only. Color: Realtree APC Lavender. Imported.
Comforter Sets: include one comforter, one bedskirt and two shams (Twin set has one sham). Twin comforter measures 65" x 90". Full comforter measures 80" x 90". Queen comforter measures 86" x 94". Sham measures 20" x 26" plus 2" flange (24" x 30" total). Sheet Sets: include one fitted sheet, one flat sheet and two standard pillowcases (Twin set has one pillowcase). Twin fitted sheet fits 39" x 75" mattress. Full fitted sheet fits 54" x 75" mattress. Queen fitted sheet fits 60" x 80" mattress. Square Accent Pillow measures 18" x 18".
New Realtree APC™ Fuchsia Bedding Collection
- High definition recoloration of the original Realtree AP™ design
- Realistic leaves and branches contrasting with fuchsia and pink
- Cotton/polyester blend
- Soft, wrinkle-free sheets
Surround yourself in the wonder of the outdoors with the Realtree APC Fuchsia Bedding Collection! Realtree APC Fuchsia camo features realistic leaves and branches contrasted against variegated shades of fuchsia and hot pink. The cozy sheets are made of a soft, wrinkle-free cotton/polyester blend. Machine wash, tumble dry. Use commercial washer/dryer to allow free movement. Pillow: Spot clean only. Made of 55% cotton/45% polyester. Imported.
Comforter set includes comforter, bedskirt, and 2 shams (twin and XL twin include 1 sham). Sheet set includes fitted sheet, flat sheet, and 2 pillowcases (twin and XL twin include 1 pillowcase).


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HalloweenThe eve of November 1 is both a solemn religious occasion and a time of games and pranks. Many of its customs descend from a Druidical holiday that involved burning men in cages
HAPPY HALLOWEEN: Sci presents...LYCANTHROPY
Halloween Editor's Selections: Ghosts, Zombies, and Stealing Candy
Trick or Theory: 6 Halloween Costumes for Science Nerds [Slide Show]This year, when choosing your spooky guise, channel your empirical side
Trick or Theory: 6 Halloween Costumes for Science Nerds [Slide Show]This year, when choosing your spooky guise, channel your empirical side
Illusions Reign Supreme on HalloweenSpooky illusions trick and treat your brain
We're All a Little Irish, Even on HalloweenOn St. Patrick's Day, everyone claims to be a little Irish. But did you know there's a strong Irish influence on the traditions that surround our favorite costumed holiday?
Build-A-Monster From the Inside OutSpongelab has taken their popular Build-a-Body educational anatomy app and given it a Halloween
Links: Halloween Physiology
Halloween Chocolate: More Trick Than Treat?Chocolate has a dark side--child slave labor. David Biello reports
One scary Halloween frogA Suriname horned frog photographed at the Bronx Zoo's World of Reptiles. This South American species is also known as a Pac-Man frog due to its large mouth, which is 1.6 times wider than the length of its body.
Special Halloween Edition: The Vampires of New EnglandAs recently as the 1890s, some New Englanders believed that their dead relatives were vampires, feeding on the living. And, in fact, the dead could look better when exhumed than they did while still alive. Now we know why. http://users.net1plus.com/vyrdolak/NEFolkbelief.htm
The Real Monsters on HalloweenA study shows that young children have a tough time knowing if monsters are real or pretend. Christie Nicholson reports.
Stuck in LimboGuest commentator Thrush Limbo (or someone dressing up their voice as such for Halloween) discusses the disconnect between science and politics.
Three Ways Dogs Fail At HalloweenHalloween is a peculiar holiday, especially for dogs. We two-legged beings all look different, and what's with the constant doorbell-ringing?
Happy Halloween from the SciAm Blog Network!
Halloween Horrors: The Ghost Bat (aka the False Vampire Bat)Something ghostly and hungry flies the skies of northern Australia. Its massive white wings stand out against the darkness as it circles, searching for prey.
Parasite Got You Tied Up in Knots? Call in Alexander the GreatHave you decided on your Halloween costume yet? If you haven't already put many hours
Happy Halloween – Here's Your Ocean WerewolfWhat better way to kick off Halloween morning than with the werewolf of the sea
Stormy Halloween in Central U.S. Leaves Three DeadA violent Halloween storm from the U.S. Gulf Coast to the eastern Great Lakes killed at least three


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Select Local Merchants
Liberty Lake Athletic ClubRead MoreEquipment: Life Fitness, Precor, and Body Masters Students should bring: Water and a towel Registration required: No Good for beginners: Yes Average class length: 60 minutes Number of Staff: 5–10 people Class location: Indoors only Established: 2002 Parking: Parking lot Pro Tip: We have lockers available for day use, but you have to bring your own lock. Q&A with the Assistant Manager Exercise is challenging, and people frequently give up on their fitness routines. How do you keep clients motivated? We provide members with daily group exercise classes, certified personal trainers, and all the necessary equipment. Our friendly, helpful staff is also available all hours. Do you run your gym according to a particular exercise philosophy? If it doesn't challenge you, it doesn't change you. What is a typical session of your program or class like for a student? We offer all types of workout equipment and classes, designed for all levels. Is there anything else you want to add that we didn't cover? Gym members can also enjoy lap swimming and swim lessons. Our facility features showers, steam rooms, and dry saunas, and it's open seven days a week.23410 E Mission AveLiberty Lake, WA US
Snap FitnessRead MoreSnap Fitness's around-the-clock gyms enable members to work on their physical well-being with a cornucopia of fitness equipment. With 24-hour access, members don't have to let The Man tell them when to help themselves to Snap's strength and cardio equipment, which features built-in TVs and other media diversions. For those who exercise during conventional hours, Snap's friendly, unintimidating atmosphere welcomes patrons of all ability levels, unlike schoolyard dodge-ball squads. Members also enjoy nationwide access to all Snap Fitness locations, ideal for working out while traveling. For a dose of custom advice, patrons can seek out a personal-training session with a certified coach, who helps them assess and address their fitness goals. Clients reap the benefit of individual attention as a personal trainer helps them tackle weight loss, prepare for an arm-wrestling competition, or unveil the mysteries of arcane cable-weight machines.13514 East 32nd AvenueSpokane Valley, WA US
The MatRead MoreJan Long and Barb Oviatt, owners of The Mat in Liberty Lake, bring their own fitness specialties to the gym, which has won or been a finalist in the Spokane CityVoter Best of Spokane awards every year since 2012. Long specializes in Baptiste-style power yoga, an intensive practice that builds strength and flexibility. She offers modifications on her exercises, of course, and teaches plenty of classes that focus on gentle, restorative postures. Oviatt, on the other hand, brings 30 years of experience in taekwondo to the table, so it's no surprise that she teaches classes in kickboxing. She also focuses on health and nutrition, advising clients to only eat foods they can lift without any help.21651 East Country Vista DriveLiberty Lake, WA US
Spokane Athletic Club-ValleyRead MoreYou're on your way to a better workout when you join Spokane Valley's Spokane Athletic Club-Valley. It's certainly time you stopped reading about this gym with its amazing restaurant and finally came in for a bite. Both the young and the young-at-heart will dig the family-oriented activities and atmosphere at this gym. Take your work out regime to the next level with one of our personal trainers on staff. These kickboxing classes incorporate a combination of self-defense fundamentals and cardio, providing you with a challenging full-body workout. You'll start to see the contours of your muscle when you take advantage of their cross fit programs. Parking is plentiful, so guests can feel free to bring their vehicles.5900 E 4th AveSpokane Valley, WA US
Whispering Falls Personal TrainingRead MoreAt Whispering Falls Personal Training, you don't have to worry about distraction, noise, or even other people. That's because the personal trainers here, Brenda and Sharon, make sure that each session focuses solely on you. Inside their private studio, they've created a welcoming place where anyone can come to get in shape and stay that way. Their progressive programs incorporate strength, cardio, flexibility, and balance training to help clients lose weight, overcome pain, and look and feel their best.13701 E Sprague AveSpokane Valley, WA US
CurvesRead MoreReach all your fitness goals at Curves in Spokane Valley. Don't forget to ask about the personal trainers who will work to find a fitness schedule and routine that works for you. You'll be surprised what you can achieve when you start the cross fit program. These kickboxing classes incorporate a combination of self-defense fundamentals and cardio, providing you with a challenging full-body workout. Parking is plentiful, so patrons can feel free to bring their vehicles.1304 North Mullan RoadSpokane Valley, WA US


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Cleveland Clinic Healthy Heart Lifestyle Guide and Cookbook
Featuring more than 150 tempting recipesRanked as the #1 heart hospital in America eleven years running by U.S. News & World Report, Cleveland Clinic is also world-renowned for its life-saving medical breakthroughs, including bypass surgery. The hospital performs more open-heart surgeries and transplants than any other hospital in America. Now, emphasizing prevention, it has teamed with cookbook authors Bonnie Sanders Polin and Frances
$391.49Fetal and Neonatal Physiology, edited by Drs. Polin, Fox, and Abman, focuses on physiologic developments of the fetus and newborn and their impact on the clinical practice of neonatology. A must for practice, this 4th edition brings you the latest information on genetic therapy, intrauterine infections, brain protection and neuroimaging, and much more. Gain a comprehensive, state-of-the-art
Discover, Ignite, Break ThroughEnergize Your Leadership springs from a collaboration of 16 leaders from around the world who came together online. They recognized a lack of energy, excitement and sense of purpose in the leaders they interact with each day. As they explored ways to help these disengaged, overwhelmed and discouraged leaders discover a new spark an extraordinary community of friends developed. Here they share
$35.99Pediatric Secrets is an easy-to-read, best-selling volume in the Secrets Series, perfect for use in clerkships, for board prep, or as a handy clinical reference. Richard A. Polin, MD and Mark F. Ditmar, MD present essential questions and answers to help you better meet the challenges you face every day.Stay current with the proven question and answer format of the highly acclaimed Secrets Series.
$44.99Fetal and Neonatal Secrets, by Drs. Richard Polin and Alan Spitzer, uses the success formula of the highly popular Secrets Series to offer fast answers to the most essential clinical questions in fetal and neonatal medicine. With its user-friendly Q & A format, practical tips from neonatologists and fetal medicine experts, and "Key Points" boxes, this portable and easy-to-read medical reference
Workbook in Practical NeonatologyWorkbook in Practical Neonatology provides authoritative guidance on neonatal evaluation and management of the problems that you are most likely to see in practice. Meticulous revisions and updates incorporate advances in neonatal care, including hypotension, mechanical ventilation, and early discharge. An ideal learning tool for beginners and a valuable reference for experienced healthcare
Advances in Respiratory Care of the Newborn, An Issue of Clinics in Perinatology
The Clinics: Internal Medicine (Book #39-3)Top authors were selected to write clinical review articles devoted to Advances in Respiratory Care of the Newborn. Articles are devoted to: Effects of chorioamnionitis on lung function and growth; Delivery room respiratory management of the term and preterm infant; CPAP or INSURE for initial respiratory support; Which CPAP is best?; Non-invasive respiratory support; Volume limited and volume
$42.29Portable and high yield, Pediatric Secrets is perfect for use in clinical rotations, exam prep, or as a handy clinical reference. Drs. Richard A. Polin and Mark F. Ditmar present the essential questions and answers to help you better meet the challenges you face every day, while updated chapters highlight the latest standards in pediatric care. A bestselling volume in the Secret Series®, its Q&A
$57.59Cambridge Pocket Clinician Neonatology covers a wide variety of topics related to neonatal medicine, as well as clinical questions on maternal and neonatal conditions, symptoms, and procedures that will challenge providers in both the outpatient and inpatient settings. The topics are organized under headings on different diagnoses, evaluation, treatment, complications, and prognoses so that the


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where is everyone
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- I find it so hard to understand how someone can
take the time to start a club for someone they
obviously admire and then do nothing.I realise there are
other things to be done in life but if someone is that
busy don't start a club.And why do people join this
club if they don't want to participate and start
conversations.<br>I'm outta here.
- hi, there are a few websites that have a listing for a Baby Doll dvd,
it might only be a uk release i am not sure, bull i will post back
when i find out for sure.
at Moviegoods.com they have a 17 x 11 inch poster reproduction though!
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Property to let in Beck Street, Carlton, Nottingham NG4
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Carlton Hill, Carlton NG4Terraced house to rent - 3 bedrooms
Unfurnished end terrace house with three double bedrooms, lounge, kitchen/diner, bathroom, and parking. Benefiting from GCH and double glazing and recently refurbished throughout. Conveniently located 15 mins from the City Centre. More details
Note: Distances are straight line measurements
- Carlton (0.7 miles)
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Marketed by Express Sales & Lettings, NG5. Call 0115 774 0344


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The Sage On The Stage
Being asked to present a paper at an Academic Conference can be a great honor. You are finally being recognized as an expert in your field, based on your research, publications, or both.
In the glaring spotlight of all this attention, it can be tempting to channel all of your efforts into delivering a 'knock your socks off' performance, presenting your data in the most dazzling manner possible – Hollywood quality video, Pixar-level animation, top quality graphics, etc.
Before you go down that expensive road, stop, slap yourself in the face (gently please!) and remember one critical rule about making presentations:


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Barely 24 hours have passed since the launch of Priyanka's much-awaited music single and it has already become the talk of B-town.
Many A-list stars like Shah Rukh Khan, Salman Khan and Ranbir Kapoor amongst many others from the industry are stunned to hear her voice which sounds nothing less than an international pop artist.
Priyanka Chopra is busy receiving compliments for her enduring performance in Anurag Basu's Barfi!
However, the actress claims that she is nervous when it comes to her International Music Debut first single ' In My City'.
"For past few days I am busy promoting Barfi! and also my album. We have tried to do something different in it. My biggest intention is to make people proud. I am tired, exhausted and nervous, but constantly hoping that people like it," expressed Priyanka. — Reported by Times of India.
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From Wikipedia, the free encyclopedia
|This article includes a list of references, related reading or external links, but its sources remain unclear because it lacks inline citations. (March 2013)
In Inuit mythology, Asiaq is a weather goddess (or, more rarely a god) and was quite frequently invoked by the angakoq for good weather, for instance if spring was late it was important to content her and make sure she would send rain and melt the ice. In Inuit mythology of Greenland, Asiaq, the mother of weather decides the quantity and the time for snow to fall.
- Barüske, Heinz (1969). "Asiaq, die Herrscherin über Wind und Wetter". Eskimo Märchen. Die Märchen der Weltliteratur (in German). Düsseldorf • Köln: Eugen Diederichs Verlag. pp. 48–53. The tale means: "Asiaq, the mistress of wind and weather", the book title means: "Eskimo tales", the series means: "The tales of world literature".
- Ostermann in Encyclopedia of Goddesses and Heroines By Patricia Monaghan
|This article relating to a myth or legend from North America is a stub. You can help Wikipedia by expanding it.


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Gods of the Neon Age: A Short StoryAs America crashes through the Atomic Age and into the New Frontier, a boy and his mother drive aimlessly state to state in a stolen pickup truck, where they manage an existence on temporary jobs, spare dollars, and spare coins in the search of a home that they can one day call their own.As money and choices dwindle, the mother must either choose a dark path that can bring ruin upon herself and
FreeBlackbridge, Pennsylvania. Ghosts walk the streets, mysterious lights float through the forests, and Milton Conroy thinks he's finally found happiness in his wife, Elizabeth....Until lightning out of a clear sky vaporizes her into nothingness.Or so he thinks.As Milton begins an obsessive search to find the woman he loves, he discovers truths about Elizabeth--and himself--that lead him to examine
Christmas in Culm: Three StoriesIn Northeastern Pennsylvania, the scars of coal mining lie in black fields and mounds of waste coal called culm. And the people who carry the scars of heartbreak and desperation during one Christmas season find hope in the strange and the supernatural:A young girl and her mother attempting to flee an abusive father find help in the form a mysterious abandoned semi-trailer.A lonely young mailman
$95.19Seismology is a highly effective tool for investigating the internal structure of the Earth. Similar techniques have also successfully been used to study other planetary bodies (planetary seismology), the Sun (helioseismology), and other stars (asteroseismology). Despite obvious differences between stars and planetary bodies, these disciplines share many similarities and together form a coherent
$89.59Seismology is a highly effective tool for investigating the internal structure of the Earth. Similar techniques have also successfully been used to study other planetary bodies (planetary seismology), the Sun (helioseismology), and other stars (asteroseismology). Despite obvious differences between stars and planetary bodies, these disciplines share many similarities and together form a coherent
The Captains of Energy: Systems Dynamics from an Energy PerspectiveIn teaching an introduction to transport or systems dynamics modeling at the undergraduate level, it is possible to lose pedagogical traction in a sea of abstract mathematics. What the mathematical modeling of time-dependent system behavior offers is a venue in which students can be taught that physical analogies exist between what they likely perceive as distinct areas of study in the physical
Essentials of Planning, Selecting, and Tailoring Interventions for Unique Learners
Essentials of Psychological AssessmentA Resource for Designing and Implementing Intervention Programs for At-Risk Learners This authoritative resource provides step-by-step procedures for planning, selecting, and tailoring interventions for at-risk learners with a unique focus on how to individualize interventions using actual case examples. In addition, this volume offers guidelines for gathering and interpreting data in a manner
Geoscience Research and Education
Innovations in Science Education and Technology (Book #20)Focusing on geoscience, this book applies a uniquely cross-disciplinary perspective to its examination of the relationship between scientific research and teaching at universities. Contributions show how the use of technology and innovative pedagogical design allows students at different stages of their university studies to develop skills and experience in geoscience research. The book offers
$3.99This daily devotional illuminates one verse each week with a fresh look for every day. God loves you and wants you to be successful in every area of your life. The first step on that journey is knowing and believing the love that your Daddy God has for you. Chillin' with Your Daddy God seeks to catapult you in that direction. Using one verse per week and examining the truths within on a daily
Essentials of Cross-Battery Assessment
Essentials of Psychological Assessment (Book #84)The most up-to-date resource of comprehensive information for conducting cross-battery assessments The Cross-Battery assessment approach—also referred to as the XBA approach—is a time-efficient assessment method grounded solidly in contemporary theory and research. The XBA approach systematically integrates data across cognitive, achievement, and neuropsychological batteries, enabling
Geoscience Research and Outreach
Innovations in Science Education and Technology (Book #21)From energy and water resources to natural disasters, and from changing climatic patterns to the evolution of the Earth's deep interior, geoscience research affects people's lives in many ways and on many levels. This book offers a stimulating cross-disciplinary perspective on the important relationship between geoscience research and outreach activities for schools and for the general public. The


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No Man's Land PC
- Publisher: cdv Software
- Release Date: Oct 20, 2003
- Also On: iPhone/iPad, PlayStation 3
- Summary: Forget the Old World, for you're now in the land of boundless opportunity. America is yours for the taking: from colonizing the East to settling the Wild West - give it your best shot! Step into the role of a Spanish conqueror, Englishman, Native American, patriot, or settler and experienceForget the Old World, for you're now in the land of boundless opportunity. America is yours for the taking: from colonizing the East to settling the Wild West - give it your best shot! Step into the role of a Spanish conqueror, Englishman, Native American, patriot, or settler and experience six thrilling adventures where you'll encounter countless eccentric personalities determined to put a bullet through your head... Show them who's boss: use special forces or bounty hunters, or rely on your wits alone to get your enemies before they get you. This game tests your mettle. In No Man's Land you need the true spirit of America to brave the dangers of the New World, whether fighting the War of Independence or building a transcontinental railroad. [CDV Software]… Expand
- Developer: Related Designs
- Genre(s): Strategy
- Cheats: On GameFAQs
- More Details and Credits »
Score distribution:
Positive: 6 out of 12
Mixed: 6 out of 12
Negative: 0 out of 12
There is little to dislike about No Man's Land, and much to love, despite the multitude of multiplayer bugs.
Graphics are fresh, with plenty of animation and the multiplayer mode offers some new alternatives to the "deathmatch" and "capture the hill" scenarios.
Computer Games MagazineThere's a great primal vibe that somehow makes you enjoy every minute the six sides spend at each other's throats. [Jan 2004, p.82]
While there is nothing that compelling about it, it's a decent enough diversion into light strategy, and may fit the bill for someone looking for a strategy game that focuses on American history.
Has some fairly innovative features like counter upgrades, paid assassins that can be turned against you for the right price, and the innovative Railroad Building Race mode. Despite these creative turns, however, its still a triumphantly average experience.
The unique graphics engine much vaunted by CDV sadly enables little innovation in the rendering of 3D effects, and only the magical powers offer something a little different, which is telling overall the emphasis is on over-the-top adventure, rather than realistic recreation of history.
An unabashed retread of concepts that were innovative four years ago. Absolutely no attempt has been made to refine or expand anything.
Score distribution:
Positive: 1 out of 3
Mixed: 1 out of 3
Negative: 1 out of 3
JoelB.Nov 15, 2005its good very good gameplay and realistic
Jun 7, 2014This review contains spoilers, click expand to view. Four years ago, I bought this German strategy game which I really wanted to try out. However, it was not what I expected. The first thing I expected was the game's campaign, which I thought was going to be about America's history, but it was about a bunch of fictional people, lame story lines, and subpar voice actors and graphics. In fact, they don't even include the French or Dutch! There isn't even a map editor!!! But there is a skirmish mode where you can choose to play as one of the factions and there are some game modes as well. Luckily, this is the best part of No Man's Land because the skirmish mode is fun to play with plenty of options. There are some good sound effects and soundtracks too. Unfortunately, gameplay gets so boring that I myself stopped playing it after a couple years. Honestly, in my opinion, No Man's Land is not a very good game. The gameplay and graphics were poor, but the soundtracks were much better. It could've been better, but at least it wasn't as bad as other strategy games that I've played.… Expand
TylerH.Jun 6, 2005It's as boring as a wet paper bag on a cold in December.


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1 Review
Excellent! Thank you for sharing a typical Dutch recipe, seeing it's your grandmother's recipe that's authentic enough for me! Love the grandma recipes and we loved this one. Made as posted and have made it a number of times - and yes have played with the cheeses. Gouda is REALLY expensive here in 'small town Saskatchewan'! This comes together to make for one terrific potato dish. It's so good just mashed that I have done that as well. Thank you for sharing your family recipe - it''s a keeper.